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Contact Information

ROULAY THAMMAVONG, MD
200 N BREIEL BLVD
MIDDLETOWN, OH45042-3893
 Phone: 513-424-2535
 Fax: 513-424-0363
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ROULAY THAMMAVONG · (Male)

NPI # 1609924984
Status Active
Credentials MD
Entity Individual
Enumeration date 01/05/2007
Last updated 03/18/2026 - About 3 months ago
Sole proprietor 1 No
Identifiers
  • NY License # 237174
  • OH License # 35.093551
  • PA License # MD431273
  • OH Medicaid 2799959
Hospital affiliation(s)
  • ATRIUM MEDICAL CENTER - (Acute Care)
    ONE MEDICAL CENTER DRIVE
    FRANKLIN, OH 45005
  • MERCY FRANCISCAN HOSPITAL - MT AIRY - (Acute Care)
    3300 MERCY HEALTH BLVD
    CINCINNATI, OH 45211
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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